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Selva Marina-1600 (13-3444)n City of Atlantic Beach ❑Denied. Building Department v j 800 Seminole Road BUILDING Atlantic Bead, Florida 3223345 Phone (904) 247-5826 - Fax (9¢4) 247-5845 Reviewed E-mail: building-dept@coab.us City web -site: http:/Auww.coab.us APPLICATION NUMBER APPLICATION REVIEW AND TRACKING FORM br Property Address: Z& a (41 'J Applicant: Project: S-7" n n ent review required Yes No ' di ani nin ree Administrator U%&O ublid t le Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: [FlApproved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed by: y TREE ADMIN. Second Review:A roved as revised. ❑ pp ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY FIRE SERVICES 4evised 05/14/09 Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: /0/171 Date: 1 .1 5113 PUBLIC WORKS PLAN REVIEW COMMENTS C .- ) i /iti h11 J0, ..� Initials: PN� ML_ 1 2 _ 2 UU, u Project Name / Address: / wu wPi 1 Y Ari l,-- Application vermrc ff: i __'j ----) / < / Check Box Check Application Tracking Comments to Add Box to Comment "Print" IMPS Provide table of impervious surface calculations for entire lot (existing and post ❑ ❑ construction). ESCP Provide erosion and sediment control plans with installation details and maintenance schedule. DPLN Provide drainage plans showing site topography (flow arrows, etc.) ❑ ❑ CSMP Provide construction site management plan, including Right -of -Way Permit if using right-of-way for construction parking. TSUR Provide a pre -construction topographic survey prepared by a Florida Licensed Professional 11 0 Land Surveyor, showing 1' contours. LDCS Section 24-66(b) of the Land Development Regulations requires on-site storage for increased run-off if adding 400 SF or more impervious surface. Provide Delta volume ❑ ❑ calculations and on-site retention required per Section 24-66(b). (See attached information sheet.) PCTS If on-site storage is required, a post construction topographic survey documenting proper ❑ ❑ construction will be required. RWPM A Right -of -Way Permit must be obtained for use ❑ ❑ REPM A Revocable Encroachment Permit must be obtained. ❑ ❑ PLWP Pool - Wellpoint (if used) must discharge into vegetated area 10' minimum from street or ❑ 11drainage feature (swale, structure or lagoon). All concrete driveway apr( �U.< , :)m edge of pavement to the property A70ve-A n the right -of- DAPR ❑ ❑ way. (Commercial drivewa Any utility cuts in the road � ���it/OA)�X and must be URCT #!q6< overlaid 10 feet in each dir f"` r! rr a shown on the plans. Full right-of-way restoratioi Roll off container company iot be placed on ��f/l.7Ja�' 'aste ❑ ❑ RWRS ❑ ❑ ROFF ❑ ❑ City right-of-way. (Approve Management) Full erosion control measur( ling any earth ECIN disturbing activities. Contac ent Control ❑ ❑ Inspection prior to start of a Recommend Owner/Contrac ., L,11cuur io aiscuss proposed MEET ❑ ❑ construction. Call 247-5834 to make an appointment. ❑ ❑ 0 11 !.ani;- City of Atlantic Beach Building Department j 800 Seminole Road s Atlantic Beach, Florida 32233.5445 Phone (904) 247-5826 Fax(904)247-5845 >` j E-mail: building-dept@coab.us SEP 2 3 I n 13 F City web -site: http://www.coab.us APPLICATION REVIEW AND TRA Property Address: ZJ& 40 a MiM�I�Q, Applicant: ;e?L C Project: S n / APPLICATION NUMBER (To be assigned bythe Building Department.) /3 • JYI�y Date nested: NC FORM ent review required Yes No di annin & Zonin ree Administrator u is i 'e Public Safety Fire Services Review fee Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other. APPLICATION STATUS Reviewing Department (Circle one.) BUILDING PLANNING & ZONING TREE ADMIN. AP WORC TILITIES f PUBLIC SAFETY FIRE SERVICES Revised 05/14/09 First Review: Approved. ❑Denied. Comments: Reviewed by: ( Date: - w /J Second Review: [Approved as revised. ❑Denied. Comments: Reviewed by: Date:, Third Review: DApproved as revised. ❑Denied. Comments: Reviewed by: Date: Date 9/26/13 CITY OF ATLANTIC BEACH PUBLIC UTILITIES 1200 Sandpiper Lane ATLANTIC BEACH, FL 32233 (904) 270-2535 or (904) 247-5874 NEW WATER/SEWER TAP REQUEST Project Address: 1600 Selva Marina Dr. No. of Units: 1 Commercial X Residential Multi -Family New Water Tap(s) & Meter(s) Existing meter at 1660 Selva Marina Dr. Meter Size(s)_.75_ New Irrigation Meter Upgrade Existing Meter from to (size) New Connection to City Sewer --Construction trailer -comes with tank that will be pumped out Name: RPC General Contractor -Pete Rodreeues Applicant Address: _248 Lev. Rd. City: Atlantic Beach State: _FL Zip: 32233 Phone Number: 241-4416 Cell Number: Email Address Fax: Signature: (Applicant) Application# 13-3444 CITY STAFF USE ONLY Water System Development Charge $ Sewer System Development Charge $ Water Meter Only $ Water Meter Tap $ Sewer Tap $ Cross Connection $ Other $ TOTAL $ 0 Construction trailer will be located on 1660 Selva Marina Dr. (property purchased by golf course developer next to country club). Will use existing metered house service for trailer. Trailer comes with tank for sewer that will be pumped out. No fees required. Will turn on 1660 Selva Marina -water only. APPROVED: Donna Kaluzniak 9/26/13 (Utility Director or Authorized Signature) ALL TAP REQUEST MUST BE APPROVED BY UTLITIES DEPARTMENT BEFORE FEES CAN BE ASSESSED PUBLIC UTILITIES PLAN REVIEW COMMENTS Date: ( 14, 0 /_3 Initials: % / 3 :? Ifv `1 Project Name / Address: ,% ip i�� �t✓(� m PrA4,gj )N Application Permit #: Check Box Check Application Tracking Comments to Add Box to Comment "Print" UWSU Avoid damage to underground water / sewer utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. If field coordination is needed, call 247-5834. 13 13 M BSC Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible. ❑ ❑ RTIC A sewer cleanout must be installed at the property line. Cleanout must be covered with an RT1 concrete box with metal lid. Cleanout to be set to grade and visible. [3 ❑ RPZB A reduced pressure zone backflow preventer must be installed if irrigation will be provided or if there is a private well on the property. Backflow preventer must be tested ❑ ❑ by a certified tester and a copy of the results sent to Public Utilities. STRM Plans note the building will be unsprinkled. if plans change, any fire line installed must be metered with a Sensus touch -read meter in a properly sized vault and an appropriate ❑ ❑ backflow preventer installed. Backflow preventer must be tested by a certified tester and a copy of the results sent to Public Utilities. FSBR If fire sprinkler system is provided, contact Malcolm Clemons at 247-5839 for backflow requirements. At a minimum, will require a double check backflow preventer. ❑ E3 FLM Fire lines must be metered with a Sensus touch -read meter. Meters larger than 2" must installed in a vault as noted in JEA specifications. 13 E3be O ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 13 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 �. � � ..r Job Address: l✓i .ql-� AA,1� 1- - Permit Number: Legal Description A -ry,4G j4 kIS Parcel # S r r r rioor Area or Sq.rt. aq.rt Valuation of Work $ f�� Proposed Work heated/cooled non-heated/cooled Class of Work (circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)circle one): Commercial . Residential If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No N /A Florida Product Approval # For multiple products use product appr—oval form , Describe in detail the type of work to be performed: Property Owner Information:647?fYel& ,•- _ . • - Name: �" e t 6Address: City 4,1, State fi-,Zip _ E -Mail or ax # (Optional) _ .p �11.4 MM 14 dg 1J✓ Company Name: A A L' ��`� 1°� " C��"� t G Qualifying Agent: Ev,- 4,4 A 1C-, Address: GtvCity -r" 11�d. �r_ �a State Zip. �_V3 Office Phone Job Site/ Contact Number Fax # State Certification/Registration # II Architect Name & Phone # Engineer's Name & Phone # Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a_ period of six (6) months at any time after work is commenced. 1 understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters, Tanks and Air Conditioners, etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT - 1 hereby certify that I have read and examined this application and w the scurte to u true ana correct. rHu pruvts rrs ws unu urutrtu.o governing this type.). work will be consplied wit whether specified herein not. The granting of a permit does not presum to gave zrthority to violate or cancel the provsions of any other federa��), or to regulat' construction or the performance of construction. .. Signature of Owner Print Name �--L-�' Teff aty 14, 2014 ru NoOry Public Underwiters Signature of Contractor PrintName'.... ................................................. Detail by Entity Name Detail by Entity Name SELVA MARINA COUNTRY CLUB, INC Document Number 191800 FEI/EIN Number 596077224 Date Filed 03/22/1956 State FL Status ACTIVE Last Event AMENDMENT Event Date Filed 11/17/2011 Event Effective Date NONE Principal Address 1600 SELVA MARINA DRIVE ATLANTIC BEACH, FL 32233 Mailing Address 1600 SELVA MARINA DRIVE ATLANTIC BEACH, FL 32233 Registered Agent Name & Address Carroll, Mark 1600 SELVA MARINA DRIVE ATLANTIC BEACH, FL 32233 Name Changed: 06/06/2013 Address Changed: 06/06/2013 Officer/Director Detail Name & Address Rodrigues, Pete 1600 SELVA MARINA DRIVE ATLANTIC BEACH, FL 32233 CARLIN, MICHAEL Page 1 of 3 http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail/EntityName/domp-... 9/24/2013 AMI' • ��; -��'� ��`,,* 'SII •,A \� •�" remova ,�r• ��Oi1 ,tea � ��, ���� , - r —\ - � • • • ons Trailer qm "Affil 1• lk Mo �� �� � , pati Air./ `� � �' l 1 , --, • �t■si� _ o , to ENTRANCE tw � 120 EIEC. T iFA•AS DARTB PATIO - ...- --_.. _ ` f Ail `pp^ y 44* p, a• 0 F • ei• � � i• I W • as 140 (� IN ,aT O OQ O �� p` i °g g.` f �• M 1 g � emp Construction °0 ELEC.C ` 4 ` F 'ower off of Ca1fl°TS — F r RVATt°N Power off existing Pole to Operations isting pole • m sT se - W 11 ttt vz 18IN } Trailer - 7 K el iB0 57 ° FENCE = a Y i i ih, i,°° Te e, Connect to existing e g` • _. _ _.. ° .. water line to house o•> •° + .___. •• _ _ `R and extend to SELVA MAR A DRIVE operations Trailer $ELVA MARINA DRIVEr Construction Office Construction Trailer Storoae